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\"這個的確以我一個醫師的經驗的確是有會發生這種情況我在30年前在偏鄉在做服務的時候也常常會看到這樣的病人他有些是被關在家裡旁邊的小房子關了30年對啊那我們衛福部社家屬這部分是不是有推展身心障礙照顧服務資源的部件計畫是不是有提這部分的計畫\", \"words\": [{\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"的\", \"start\": 497.041, \"end\": 498.142, \"score\": 0.963}, {\"word\": \"確\"}, {\"word\": \"以\", \"start\": 498.142, \"end\": 498.262, \"score\": 0.834}, {\"word\": \"我\", \"start\": 498.262, \"end\": 498.462, \"score\": 0.994}, {\"word\": \"一\", \"start\": 498.462, \"end\": 499.003, \"score\": 0.885}, {\"word\": \"個\"}, {\"word\": \"醫\"}, {\"word\": \"師\"}, {\"word\": \"的\", \"start\": 499.003, \"end\": 499.743, \"score\": 0.91}, {\"word\": \"經\"}, {\"word\": \"驗\"}, {\"word\": \"的\", \"start\": 499.743, \"end\": 500.103, \"score\": 0.891}, {\"word\": \"確\"}, {\"word\": \"是\", \"start\": 500.103, \"end\": 500.244, \"score\": 0.995}, {\"word\": \"有\", \"start\": 500.244, \"end\": 500.784, \"score\": 0.924}, {\"word\": \"會\"}, {\"word\": \"發\"}, {\"word\": \"生\", \"start\": 500.784, \"end\": 501.124, 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{\"word\": \"候\", \"start\": 505.467, \"end\": 506.328, \"score\": 0.972}, {\"word\": \"也\", \"start\": 506.328, \"end\": 506.448, \"score\": 0.981}, {\"word\": \"常\", \"start\": 506.448, \"end\": 506.608, \"score\": 0.875}, {\"word\": \"常\", \"start\": 506.608, \"end\": 508.289, \"score\": 0.96}, {\"word\": \"會\"}, {\"word\": \"看\", \"start\": 508.289, \"end\": 508.429, \"score\": 0.999}, {\"word\": \"到\", \"start\": 508.429, \"end\": 508.73, \"score\": 0.865}, {\"word\": \"這\"}, {\"word\": \"樣\"}, {\"word\": \"的\", \"start\": 508.73, \"end\": 508.87, \"score\": 0.999}, {\"word\": \"病\", \"start\": 508.87, \"end\": 509.01, \"score\": 0.969}, {\"word\": \"人\", \"start\": 509.01, \"end\": 509.15, \"score\": 0.941}, {\"word\": \"他\", \"start\": 509.15, \"end\": 509.31, \"score\": 0.897}, {\"word\": \"有\", \"start\": 509.31, \"end\": 509.47, \"score\": 0.998}, {\"word\": \"些\", \"start\": 509.47, \"end\": 509.63, \"score\": 0.899}, {\"word\": \"是\", \"start\": 509.63, \"end\": 509.81, 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\"end\": 518.296, \"score\": 1.0}, {\"word\": \"展\", \"start\": 518.296, \"end\": 518.577, \"score\": 0.98}, {\"word\": \"身\", \"start\": 518.577, \"end\": 518.777, \"score\": 0.903}, {\"word\": \"心\", \"start\": 518.777, \"end\": 518.997, \"score\": 0.981}, {\"word\": \"障\", \"start\": 518.997, \"end\": 519.938, \"score\": 0.96}, {\"word\": \"礙\"}, {\"word\": \"照\", \"start\": 519.938, \"end\": 520.458, \"score\": 0.944}, {\"word\": \"顧\"}, {\"word\": \"服\", \"start\": 520.458, \"end\": 520.958, \"score\": 0.92}, {\"word\": \"務\"}, {\"word\": \"資\"}, {\"word\": \"源\", \"start\": 520.958, \"end\": 521.178, \"score\": 0.914}, {\"word\": \"的\", \"start\": 521.178, \"end\": 521.319, \"score\": 0.998}, {\"word\": \"部\", \"start\": 521.319, \"end\": 521.499, \"score\": 0.962}, {\"word\": \"件\", \"start\": 521.499, \"end\": 522.099, \"score\": 0.913}, {\"word\": \"計\"}, {\"word\": \"畫\"}, {\"word\": \"是\", \"start\": 522.099, \"end\": 522.219, \"score\": 0.975}, {\"word\": \"不\", \"start\": 522.219, \"end\": 522.259, \"score\": 0.672}, {\"word\": \"是\", \"start\": 522.259, \"end\": 522.319, \"score\": 0.666}, {\"word\": \"有\", \"start\": 522.319, \"end\": 522.459, \"score\": 0.972}, {\"word\": \"提\", \"start\": 522.459, \"end\": 522.78, \"score\": 0.878}, {\"word\": \"這\"}, {\"word\": \"部\", \"start\": 522.78, \"end\": 522.9, \"score\": 0.999}, {\"word\": \"分\", \"start\": 522.9, \"end\": 523.06, \"score\": 0.932}, {\"word\": \"的\", \"start\": 523.06, \"end\": 523.08, \"score\": 0.73}, {\"word\": \"計\"}, {\"word\": \"畫\"}]}, {\"start\": 525.302, \"end\": 526.563, \"text\": \"對,可是看你們預算中心的報告齁\", \"words\": [{\"word\": \"對\"}, {\"word\": \",\"}, {\"word\": \"可\", \"start\": 525.302, \"end\": 525.322, \"score\": 0.0}, {\"word\": \"是\", \"start\": 525.322, \"end\": 525.422, \"score\": 0.8}, {\"word\": \"看\", \"start\": 525.422, \"end\": 525.702, \"score\": 0.928}, {\"word\": \"你\", \"start\": 525.702, \"end\": 525.822, \"score\": 0.832}, {\"word\": \"們\"}, {\"word\": \"預\"}, {\"word\": \"算\", \"start\": 525.822, \"end\": 526.123, \"score\": 0.933}, {\"word\": \"中\", \"start\": 526.123, \"end\": 526.283, \"score\": 0.875}, {\"word\": \"心\", \"start\": 526.283, \"end\": 526.403, \"score\": 0.833}, {\"word\": \"的\", \"start\": 526.403, \"end\": 526.543, \"score\": 0.857}, {\"word\": \"報\"}, {\"word\": \"告\", \"start\": 526.543, \"end\": 526.563, \"score\": 1.0}, {\"word\": \"齁\"}]}, {\"start\": 554.821, \"end\": 569.648, \"text\": \"我們針對身心障礙服務據點安置的情形這個安置率整體不到八成而且在我們花蓮宜蘭甚至只有六成六成多所以針對這部分覺得成效如何\", \"words\": [{\"word\": \"我\", \"start\": 554.821, \"end\": 555.081, \"score\": 0.849}, {\"word\": \"們\"}, {\"word\": \"針\"}, {\"word\": \"對\"}, {\"word\": \"身\", \"start\": 555.081, \"end\": 555.761, \"score\": 0.907}, {\"word\": \"心\", \"start\": 555.761, \"end\": 555.962, \"score\": 0.923}, {\"word\": \"障\", \"start\": 555.962, \"end\": 556.322, \"score\": 0.833}, {\"word\": \"礙\"}, {\"word\": \"服\", \"start\": 556.322, \"end\": 556.942, \"score\": 0.896}, {\"word\": \"務\"}, {\"word\": \"據\"}, {\"word\": \"點\"}, {\"word\": \"安\", \"start\": 556.942, \"end\": 557.222, \"score\": 0.978}, {\"word\": \"置\", \"start\": 557.222, \"end\": 557.662, \"score\": 0.954}, {\"word\": \"的\", \"start\": 557.662, \"end\": 557.842, \"score\": 0.993}, {\"word\": \"情\", \"start\": 557.842, \"end\": 558.103, \"score\": 0.996}, {\"word\": \"形\", \"start\": 558.103, \"end\": 558.503, \"score\": 0.85}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"安\", \"start\": 558.503, \"end\": 558.763, \"score\": 0.988}, {\"word\": \"置\", \"start\": 558.763, \"end\": 558.923, \"score\": 0.876}, {\"word\": \"率\", \"start\": 558.923, \"end\": 560.284, \"score\": 0.948}, {\"word\": \"整\", \"start\": 560.284, \"end\": 560.764, \"score\": 0.925}, {\"word\": \"體\"}, {\"word\": \"不\", \"start\": 560.764, \"end\": 560.904, \"score\": 0.999}, {\"word\": \"到\", \"start\": 560.904, \"end\": 561.144, \"score\": 0.998}, {\"word\": \"八\", \"start\": 561.144, \"end\": 561.444, \"score\": 0.983}, {\"word\": \"成\", \"start\": 561.444, \"end\": 561.724, \"score\": 0.922}, {\"word\": \"而\", \"start\": 561.724, \"end\": 561.904, \"score\": 0.996}, {\"word\": \"且\", \"start\": 561.904, \"end\": 562.144, \"score\": 0.917}, {\"word\": \"在\", \"start\": 562.144, \"end\": 563.025, \"score\": 0.996}, {\"word\": \"我\", \"start\": 563.025, \"end\": 563.345, \"score\": 0.935}, {\"word\": \"們\"}, {\"word\": \"花\", \"start\": 563.345, \"end\": 563.785, \"score\": 0.947}, {\"word\": \"蓮\"}, {\"word\": \"宜\", \"start\": 563.785, \"end\": 564.185, \"score\": 0.924}, {\"word\": \"蘭\"}, {\"word\": \"甚\", \"start\": 564.185, \"end\": 564.385, \"score\": 0.997}, {\"word\": \"至\", \"start\": 564.385, \"end\": 564.545, \"score\": 0.942}, {\"word\": \"只\", \"start\": 564.545, \"end\": 564.666, \"score\": 0.928}, {\"word\": \"有\", \"start\": 564.666, \"end\": 564.826, \"score\": 0.999}, {\"word\": \"六\", \"start\": 564.826, \"end\": 565.086, \"score\": 0.995}, {\"word\": \"成\", \"start\": 565.086, \"end\": 565.286, \"score\": 0.935}, {\"word\": \"六\", \"start\": 565.286, \"end\": 565.506, \"score\": 0.988}, {\"word\": \"成\", \"start\": 565.506, \"end\": 565.786, \"score\": 0.955}, {\"word\": \"多\", \"start\": 565.786, \"end\": 566.366, \"score\": 1.0}, {\"word\": \"所\", \"start\": 566.366, \"end\": 566.847, \"score\": 0.958}, {\"word\": \"以\", \"start\": 566.847, \"end\": 567.407, \"score\": 0.893}, {\"word\": \"針\"}, {\"word\": \"對\"}, {\"word\": \"這\"}, {\"word\": \"部\", \"start\": 567.407, \"end\": 567.587, \"score\": 1.0}, {\"word\": \"分\", \"start\": 567.587, \"end\": 568.627, \"score\": 0.974}, {\"word\": \"覺\"}, {\"word\": \"得\", \"start\": 568.627, \"end\": 568.887, \"score\": 1.0}, {\"word\": \"成\", \"start\": 568.887, \"end\": 569.128, \"score\": 0.92}, {\"word\": \"效\", \"start\": 569.128, \"end\": 569.368, \"score\": 0.991}, {\"word\": \"如\", \"start\": 569.368, \"end\": 569.628, \"score\": 0.994}, {\"word\": \"何\", \"start\": 569.628, \"end\": 569.648, \"score\": 0.995}]}, {\"start\": 571.257, \"end\": 595.951, \"text\": \"看起來這個成效如果在針對身心障礙精神病患者他本身又抗拒又不敢就醫那這個八成的安置率是整體的那我們針對身心障礙精神病患者我們覺得他就醫的比例可能又更低對不對那針對這部分看起來這安置率更低我們有沒有什麼因應改善的措施啊\", \"words\": [{\"word\": \"看\", \"start\": 571.257, \"end\": 571.437, \"score\": 0.999}, {\"word\": \"起\", \"start\": 571.437, \"end\": 571.897, \"score\": 0.855}, {\"word\": \"來\"}, {\"word\": \"這\"}, {\"word\": \"個\"}, {\"word\": \"成\", \"start\": 571.897, \"end\": 572.077, \"score\": 0.898}, {\"word\": \"效\", \"start\": 572.077, \"end\": 572.258, \"score\": 0.909}, {\"word\": \"如\", \"start\": 572.258, \"end\": 572.458, \"score\": 0.999}, {\"word\": \"果\", \"start\": 572.458, \"end\": 572.998, \"score\": 1.0}, {\"word\": \"在\", \"start\": 572.998, \"end\": 573.538, \"score\": 0.925}, {\"word\": \"針\"}, {\"word\": \"對\"}, {\"word\": \"身\", \"start\": 573.538, \"end\": 573.718, \"score\": 0.906}, {\"word\": \"心\", \"start\": 573.718, \"end\": 573.878, \"score\": 0.97}, {\"word\": \"障\", \"start\": 573.878, 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{\"word\": \"那\", \"start\": 582.323, \"end\": 582.563, \"score\": 0.992}, {\"word\": \"我\", \"start\": 582.563, \"end\": 583.624, \"score\": 0.943}, {\"word\": \"們\"}, {\"word\": \"針\"}, {\"word\": \"對\"}, {\"word\": \"身\", \"start\": 583.624, \"end\": 583.804, \"score\": 0.902}, {\"word\": \"心\", \"start\": 583.804, \"end\": 583.984, \"score\": 0.978}, {\"word\": \"障\", \"start\": 583.984, \"end\": 584.304, \"score\": 0.876}, {\"word\": \"礙\"}, {\"word\": \"精\", \"start\": 584.304, \"end\": 584.464, \"score\": 0.985}, {\"word\": \"神\", \"start\": 584.464, \"end\": 584.624, \"score\": 0.998}, {\"word\": \"病\", \"start\": 584.624, \"end\": 584.765, \"score\": 0.904}, {\"word\": \"患\", \"start\": 584.765, \"end\": 584.965, \"score\": 0.906}, {\"word\": \"者\", \"start\": 584.965, \"end\": 585.325, \"score\": 0.917}, {\"word\": \"我\", \"start\": 585.325, \"end\": 585.465, \"score\": 0.857}, {\"word\": \"們\"}, {\"word\": \"覺\"}, {\"word\": \"得\", \"start\": 585.465, \"end\": 585.605, 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0.0}, {\"word\": \"長\"}], \"language\": \"zh\"}","srt":"1\n00:00:00,591 --> 00:00:05,745\n請涂權吉委員質詢。好,謝謝主席,那請我們邱部長。部長請。\n\n2\n00:00:11,280 --> 00:00:37,889\n委員好部長辛苦那也感謝你在假日期間也這麼關心我們基層跑了那麼多行程辛苦感謝委員對桃園醫界那麼的關懷大家都非常感動謝謝部長那我們今天專案報告是主要是針對社區精神病患照護優化這個部分那我們也看了一下我們這幾年來針對這些\n\n3\n00:00:40,310 --> 00:01:05,777\n像我們這一部分的預算都有增加嘛那不知道增加以後這一部分部長覺得這一部分的成效如何我想由今天找到的報告從不管是從人力的一個點的建置人力的增加數值的提升我想還有預算的增加都是一直符合社會的需求的桌前性來邁進跟桌前來邁進\n\n4\n00:01:08,297 --> 00:01:29,463\n事實上其實我也知道我看到大家都在努力可是其實我們目前看到實際的成效感覺還是不足而且這些社會事件還是不斷的發生那我們先看一下我們上禮拜這個影片相信最近大家都很關注這個社會事件我們先看一下這部影片\n\n5\n00:01:40,185 --> 00:01:52,716\n那這部影片也是最近大家很關心在我們桃園龜山那有一個18歲的中度生長那搶乳的9歲女童的事件\n\n6\n00:02:04,668 --> 00:02:33,728\n部長這個影片雖然只有26秒但是你看這個影片我相信對這個女童一定是一輩子的噩夢那本系也了解當然這個加害人他是中度的身心障礙者但是依照我們身心障礙權益保障法主管單位當然是地方政府但是我們中央機關主管單位是衛福部那針對這部分我們衛福部有去關心受害者還有這個家屬嗎\n\n7\n00:02:34,428 --> 00:02:34,462\n韓國瑜議員\n\n8\n00:02:35,871 --> 00:03:04,000\n我想我們看到這個影片真的是很難過我想我們後續都一定是很努力在關注跟看應該要做的錯我們新建室跟社家屬有去了解嗎有保護福斯來回應因為這一案子涉及疑似性侵害所以第一時間社工有到場陪同被害人的這個家屬那可以簡單說明一下\n\n9\n00:03:04,960 --> 00:03:09,004\n對,我們希望衛福部真的協同相關單位來關心女童不要讓她這個未來一輩子造成很大的因緣\n\n10\n00:03:25,839 --> 00:03:53,916\n那還有我們也那時候有看到有媒體相關的報導好像說處理員警有透過志工詢問說是不是可以和解那針對這部分不是對這受害者還有家屬造成二次傷害嗎那到底他們有沒有這個事情發生這個資訊有誤性侵害案件絕對沒有和解這個議題他一定是非告訴乃論所以當初處理員警是沒有去要求社工說要和解嗎\n\n11\n00:03:55,822 --> 00:04:17,735\n那所以針對這部分我相信衛福部應該也很重視這個案件那近年來針對精神疾病身心障礙因為刑事犯罪案件常常上這個社會版面那當然也對我們社會對精神病患者還有身心障礙者造成很大的誤解那當然我覺得也暴露\n\n12\n00:04:18,935 --> 00:04:26,526\n衛福部在立法上還有我們執行前端我覺得在預防作業上好像看起來有很大的疏失欸\n\n13\n00:04:27,830 --> 00:04:55,738\n那部長針對這一部分有沒有,你覺得這一部分是不是有很大改進的空間?謝謝委員,我們在針對精神病或身心障礙的照護其實是要多元化來處理,那我們是希望往前來減低一個risk危險,所以在國際間,其實在社工都希望不是\n\n14\n00:04:56,776 --> 00:05:05,941\n所以我覺得這一部分我們覺得這個預防真的是非常非常的重要那而且針對我們衛福部統計國內零有身心障礙慢性精神疾病患者已經突破13萬人對不對\n\n15\n00:05:24,292 --> 00:05:49,942\n那我們看到這不僅這個患者一直增加而且相關精神病患者殺人致死的案件也增加對不對看起來這個數據好像都是逐年在增加可能要看一下確實的數據好那沒關係因為法務部那邊對因為我們這個根據我們有統計這個看起來都沒有減少而且感覺都在增加那\n\n16\n00:05:51,038 --> 00:06:15,908\n本席也看到我們針對衛福部新建師他在有關強化精神醫療還有精神病患收治這部分他的預算是減編的那減編的理由是怎麼樣這案件一直增加那這預算減編是成效不好還是怎麼樣不管為什麼這案件一直增加這個數量一直增加結果這預算反而是減少的我們是\n\n17\n00:06:18,379 --> 00:06:22,345\n你看一下從113年到114年這預算減少3.7%新建師在強化精神醫療及社會資源經費的部分是減少2.7%那\n\n18\n00:06:35,430 --> 00:06:55,202\n我不了解在案件一直增加然後預算減少是什麼情形有些事在其他的計畫有編我們是不是請市長跟委員報告我這邊是社公司我說明一下關於那個小康計畫的經費減少的原因那小康計畫他收支的對樣是早期的那個找不到家屬沒有身份的入島病人\n\n19\n00:06:55,882 --> 00:06:58,364\n那我們希望齁因為我們一直看到這個增加我們希望齁不要忽略了這一部分那從客觀的預算來看齁我們\n\n20\n00:07:25,240 --> 00:07:42,077\n這部分我看精神病人我看好像我們針對這些收容好像這些精神病人對於好像這些治療都是抗拒或者不敢就醫那針對社家屬針對這部分有沒有提出解決的辦法\n\n21\n00:07:47,625 --> 00:07:48,045\n社家屬有瞭解這部分嗎?\n\n22\n00:08:17,041 --> 00:08:43,080\n這個的確以我一個醫師的經驗的確是有會發生這種情況我在30年前在偏鄉在做服務的時候也常常會看到這樣的病人他有些是被關在家裡旁邊的小房子關了30年對啊那我們衛福部社家屬這部分是不是有推展身心障礙照顧服務資源的部件計畫是不是有提這部分的計畫\n\n23\n00:08:45,302 --> 00:08:46,563\n對,可是看你們預算中心的報告齁\n\n24\n00:09:14,821 --> 00:09:29,648\n我們針對身心障礙服務據點安置的情形這個安置率整體不到八成而且在我們花蓮宜蘭甚至只有六成六成多所以針對這部分覺得成效如何\n\n25\n00:09:31,257 --> 00:09:55,951\n看起來這個成效如果在針對身心障礙精神病患者他本身又抗拒又不敢就醫那這個八成的安置率是整體的那我們針對身心障礙精神病患者我們覺得他就醫的比例可能又更低對不對那針對這部分看起來這安置率更低我們有沒有什麼因應改善的措施啊\n\n26\n00:09:57,489 --> 00:10:12,735\n跟委員報告服務的安置率的部分我們是每一個年度在新年度開始會重新開始來計算他的服務人數跟統計那以我們現在統計到今年的6月我們的服務的使用率是到85.4%那其實是一直會持續的穩定的來增長\n\n27\n00:10:18,197 --> 00:10:45,592\n好我希望注意一下因為你這是整體的安置率所以我剛剛有特別講針對精神病身心障礙的應該是更低所以你整體都只有八成甚至有些根本只有六成多所以這部分應該要特別注意那以他們來講應該這個安置率應該是更低那還有像我們桃園龜山這一類身心障礙犯罪的案例我們看過去也蠻多的還有特別就是像我們\n\n28\n00:10:47,935 --> 00:11:03,186\n臺鐵嘉義的刺頸案。嫌犯也因為是思覺失調但是後來被判無罪那這個相關的案例其實是非常非常的多那我們新版的精神衛生法在年底前是不是可以如期上路?\n\n29\n00:11:04,520 --> 00:11:09,282\n我們有看針對我們這部分要在社區廣設心理衛生中心衛福部的方針是這樣而且好像平均在33萬人我們設一個\n\n30\n00:11:28,840 --> 00:11:43,066\n新匯中心那針對這一部分當然我們也希望能夠多增設那預防重疑治療可是據我們看喔從2023年我們身心障礙社工的缺額大概有300個\n\n31\n00:11:44,506 --> 00:12:01,838\n新衛中心社工的缺額有748個而且看起來他的離職率跟流動率也是居高不下那我們社家屬針對這一部分你一直增加新衛中心可是這社工數的缺額還是一直在增加我們\n\n32\n00:12:02,679 --> 00:12:06,941\n謝謝委員的關心這個我們也透過了改善薪資的結構強化專業的信任還有督導協助輔導的一個方式來提升他的留任的意願\n\n33\n00:12:32,396 --> 00:12:57,536\n好,我們希望這新版的精神衛生法請部長一定要在年底前如期上路那針對身心障礙還有心胃中心社工缺額的問題我們一個月內可不可以提出因應社工缺額問題的改善計畫好,我們會提出改善計畫好,那請部長我們一個月內我們提出這改善計畫因為這之前已經講很多了好,沒問題好,謝謝謝謝委員好,謝謝杜委員,謝謝部長\n\n","tsv":"start\tend\ttext\n591\t5745\t請涂權吉委員質詢。好,謝謝主席,那請我們邱部長。部長請。\n11280\t37889\t委員好部長辛苦那也感謝你在假日期間也這麼關心我們基層跑了那麼多行程辛苦感謝委員對桃園醫界那麼的關懷大家都非常感動謝謝部長那我們今天專案報告是主要是針對社區精神病患照護優化這個部分那我們也看了一下我們這幾年來針對這些\n40310\t65777\t像我們這一部分的預算都有增加嘛那不知道增加以後這一部分部長覺得這一部分的成效如何我想由今天找到的報告從不管是從人力的一個點的建置人力的增加數值的提升我想還有預算的增加都是一直符合社會的需求的桌前性來邁進跟桌前來邁進\n68297\t89463\t事實上其實我也知道我看到大家都在努力可是其實我們目前看到實際的成效感覺還是不足而且這些社會事件還是不斷的發生那我們先看一下我們上禮拜這個影片相信最近大家都很關注這個社會事件我們先看一下這部影片\n100185\t112716\t那這部影片也是最近大家很關心在我們桃園龜山那有一個18歲的中度生長那搶乳的9歲女童的事件\n124668\t153728\t部長這個影片雖然只有26秒但是你看這個影片我相信對這個女童一定是一輩子的噩夢那本系也了解當然這個加害人他是中度的身心障礙者但是依照我們身心障礙權益保障法主管單位當然是地方政府但是我們中央機關主管單位是衛福部那針對這部分我們衛福部有去關心受害者還有這個家屬嗎\n154428\t154462\t韓國瑜議員\n155871\t184000\t我想我們看到這個影片真的是很難過我想我們後續都一定是很努力在關注跟看應該要做的錯我們新建室跟社家屬有去了解嗎有保護福斯來回應因為這一案子涉及疑似性侵害所以第一時間社工有到場陪同被害人的這個家屬那可以簡單說明一下\n184960\t189004\t對,我們希望衛福部真的協同相關單位來關心女童不要讓她這個未來一輩子造成很大的因緣\n205839\t233916\t那還有我們也那時候有看到有媒體相關的報導好像說處理員警有透過志工詢問說是不是可以和解那針對這部分不是對這受害者還有家屬造成二次傷害嗎那到底他們有沒有這個事情發生這個資訊有誤性侵害案件絕對沒有和解這個議題他一定是非告訴乃論所以當初處理員警是沒有去要求社工說要和解嗎\n235822\t257735\t那所以針對這部分我相信衛福部應該也很重視這個案件那近年來針對精神疾病身心障礙因為刑事犯罪案件常常上這個社會版面那當然也對我們社會對精神病患者還有身心障礙者造成很大的誤解那當然我覺得也暴露\n258935\t266526\t衛福部在立法上還有我們執行前端我覺得在預防作業上好像看起來有很大的疏失欸\n267830\t295738\t那部長針對這一部分有沒有,你覺得這一部分是不是有很大改進的空間?謝謝委員,我們在針對精神病或身心障礙的照護其實是要多元化來處理,那我們是希望往前來減低一個risk危險,所以在國際間,其實在社工都希望不是\n296776\t305941\t所以我覺得這一部分我們覺得這個預防真的是非常非常的重要那而且針對我們衛福部統計國內零有身心障礙慢性精神疾病患者已經突破13萬人對不對\n324292\t349942\t那我們看到這不僅這個患者一直增加而且相關精神病患者殺人致死的案件也增加對不對看起來這個數據好像都是逐年在增加可能要看一下確實的數據好那沒關係因為法務部那邊對因為我們這個根據我們有統計這個看起來都沒有減少而且感覺都在增加那\n351038\t375908\t本席也看到我們針對衛福部新建師他在有關強化精神醫療還有精神病患收治這部分他的預算是減編的那減編的理由是怎麼樣這案件一直增加那這預算減編是成效不好還是怎麼樣不管為什麼這案件一直增加這個數量一直增加結果這預算反而是減少的我們是\n378379\t382345\t你看一下從113年到114年這預算減少3.7%新建師在強化精神醫療及社會資源經費的部分是減少2.7%那\n395430\t415202\t我不了解在案件一直增加然後預算減少是什麼情形有些事在其他的計畫有編我們是不是請市長跟委員報告我這邊是社公司我說明一下關於那個小康計畫的經費減少的原因那小康計畫他收支的對樣是早期的那個找不到家屬沒有身份的入島病人\n415882\t418364\t那我們希望齁因為我們一直看到這個增加我們希望齁不要忽略了這一部分那從客觀的預算來看齁我們\n445240\t462077\t這部分我看精神病人我看好像我們針對這些收容好像這些精神病人對於好像這些治療都是抗拒或者不敢就醫那針對社家屬針對這部分有沒有提出解決的辦法\n467625\t468045\t社家屬有瞭解這部分嗎?\n497041\t523080\t這個的確以我一個醫師的經驗的確是有會發生這種情況我在30年前在偏鄉在做服務的時候也常常會看到這樣的病人他有些是被關在家裡旁邊的小房子關了30年對啊那我們衛福部社家屬這部分是不是有推展身心障礙照顧服務資源的部件計畫是不是有提這部分的計畫\n525302\t526563\t對,可是看你們預算中心的報告齁\n554821\t569648\t我們針對身心障礙服務據點安置的情形這個安置率整體不到八成而且在我們花蓮宜蘭甚至只有六成六成多所以針對這部分覺得成效如何\n571257\t595951\t看起來這個成效如果在針對身心障礙精神病患者他本身又抗拒又不敢就醫那這個八成的安置率是整體的那我們針對身心障礙精神病患者我們覺得他就醫的比例可能又更低對不對那針對這部分看起來這安置率更低我們有沒有什麼因應改善的措施啊\n597489\t612735\t跟委員報告服務的安置率的部分我們是每一個年度在新年度開始會重新開始來計算他的服務人數跟統計那以我們現在統計到今年的6月我們的服務的使用率是到85.4%那其實是一直會持續的穩定的來增長\n618197\t645592\t好我希望注意一下因為你這是整體的安置率所以我剛剛有特別講針對精神病身心障礙的應該是更低所以你整體都只有八成甚至有些根本只有六成多所以這部分應該要特別注意那以他們來講應該這個安置率應該是更低那還有像我們桃園龜山這一類身心障礙犯罪的案例我們看過去也蠻多的還有特別就是像我們\n647935\t663186\t臺鐵嘉義的刺頸案。嫌犯也因為是思覺失調但是後來被判無罪那這個相關的案例其實是非常非常的多那我們新版的精神衛生法在年底前是不是可以如期上路?\n664520\t669282\t我們有看針對我們這部分要在社區廣設心理衛生中心衛福部的方針是這樣而且好像平均在33萬人我們設一個\n688840\t703066\t新匯中心那針對這一部分當然我們也希望能夠多增設那預防重疑治療可是據我們看喔從2023年我們身心障礙社工的缺額大概有300個\n704506\t721838\t新衛中心社工的缺額有748個而且看起來他的離職率跟流動率也是居高不下那我們社家屬針對這一部分你一直增加新衛中心可是這社工數的缺額還是一直在增加我們\n722679\t726941\t謝謝委員的關心這個我們也透過了改善薪資的結構強化專業的信任還有督導協助輔導的一個方式來提升他的留任的意願\n752396\t777536\t好,我們希望這新版的精神衛生法請部長一定要在年底前如期上路那針對身心障礙還有心胃中心社工缺額的問題我們一個月內可不可以提出因應社工缺額問題的改善計畫好,我們會提出改善計畫好,那請部長我們一個月內我們提出這改善計畫因為這之前已經講很多了好,沒問題好,謝謝謝謝委員好,謝謝杜委員,謝謝部長\n","txt":"請涂權吉委員質詢。好,謝謝主席,那請我們邱部長。部長請。\n委員好部長辛苦那也感謝你在假日期間也這麼關心我們基層跑了那麼多行程辛苦感謝委員對桃園醫界那麼的關懷大家都非常感動謝謝部長那我們今天專案報告是主要是針對社區精神病患照護優化這個部分那我們也看了一下我們這幾年來針對這些\n像我們這一部分的預算都有增加嘛那不知道增加以後這一部分部長覺得這一部分的成效如何我想由今天找到的報告從不管是從人力的一個點的建置人力的增加數值的提升我想還有預算的增加都是一直符合社會的需求的桌前性來邁進跟桌前來邁進\n事實上其實我也知道我看到大家都在努力可是其實我們目前看到實際的成效感覺還是不足而且這些社會事件還是不斷的發生那我們先看一下我們上禮拜這個影片相信最近大家都很關注這個社會事件我們先看一下這部影片\n那這部影片也是最近大家很關心在我們桃園龜山那有一個18歲的中度生長那搶乳的9歲女童的事件\n部長這個影片雖然只有26秒但是你看這個影片我相信對這個女童一定是一輩子的噩夢那本系也了解當然這個加害人他是中度的身心障礙者但是依照我們身心障礙權益保障法主管單位當然是地方政府但是我們中央機關主管單位是衛福部那針對這部分我們衛福部有去關心受害者還有這個家屬嗎\n韓國瑜議員\n我想我們看到這個影片真的是很難過我想我們後續都一定是很努力在關注跟看應該要做的錯我們新建室跟社家屬有去了解嗎有保護福斯來回應因為這一案子涉及疑似性侵害所以第一時間社工有到場陪同被害人的這個家屬那可以簡單說明一下\n對,我們希望衛福部真的協同相關單位來關心女童不要讓她這個未來一輩子造成很大的因緣\n那還有我們也那時候有看到有媒體相關的報導好像說處理員警有透過志工詢問說是不是可以和解那針對這部分不是對這受害者還有家屬造成二次傷害嗎那到底他們有沒有這個事情發生這個資訊有誤性侵害案件絕對沒有和解這個議題他一定是非告訴乃論所以當初處理員警是沒有去要求社工說要和解嗎\n那所以針對這部分我相信衛福部應該也很重視這個案件那近年來針對精神疾病身心障礙因為刑事犯罪案件常常上這個社會版面那當然也對我們社會對精神病患者還有身心障礙者造成很大的誤解那當然我覺得也暴露\n衛福部在立法上還有我們執行前端我覺得在預防作業上好像看起來有很大的疏失欸\n那部長針對這一部分有沒有,你覺得這一部分是不是有很大改進的空間?謝謝委員,我們在針對精神病或身心障礙的照護其實是要多元化來處理,那我們是希望往前來減低一個risk危險,所以在國際間,其實在社工都希望不是\n所以我覺得這一部分我們覺得這個預防真的是非常非常的重要那而且針對我們衛福部統計國內零有身心障礙慢性精神疾病患者已經突破13萬人對不對\n那我們看到這不僅這個患者一直增加而且相關精神病患者殺人致死的案件也增加對不對看起來這個數據好像都是逐年在增加可能要看一下確實的數據好那沒關係因為法務部那邊對因為我們這個根據我們有統計這個看起來都沒有減少而且感覺都在增加那\n本席也看到我們針對衛福部新建師他在有關強化精神醫療還有精神病患收治這部分他的預算是減編的那減編的理由是怎麼樣這案件一直增加那這預算減編是成效不好還是怎麼樣不管為什麼這案件一直增加這個數量一直增加結果這預算反而是減少的我們是\n你看一下從113年到114年這預算減少3.7%新建師在強化精神醫療及社會資源經費的部分是減少2.7%那\n我不了解在案件一直增加然後預算減少是什麼情形有些事在其他的計畫有編我們是不是請市長跟委員報告我這邊是社公司我說明一下關於那個小康計畫的經費減少的原因那小康計畫他收支的對樣是早期的那個找不到家屬沒有身份的入島病人\n那我們希望齁因為我們一直看到這個增加我們希望齁不要忽略了這一部分那從客觀的預算來看齁我們\n這部分我看精神病人我看好像我們針對這些收容好像這些精神病人對於好像這些治療都是抗拒或者不敢就醫那針對社家屬針對這部分有沒有提出解決的辦法\n社家屬有瞭解這部分嗎?\n這個的確以我一個醫師的經驗的確是有會發生這種情況我在30年前在偏鄉在做服務的時候也常常會看到這樣的病人他有些是被關在家裡旁邊的小房子關了30年對啊那我們衛福部社家屬這部分是不是有推展身心障礙照顧服務資源的部件計畫是不是有提這部分的計畫\n對,可是看你們預算中心的報告齁\n我們針對身心障礙服務據點安置的情形這個安置率整體不到八成而且在我們花蓮宜蘭甚至只有六成六成多所以針對這部分覺得成效如何\n看起來這個成效如果在針對身心障礙精神病患者他本身又抗拒又不敢就醫那這個八成的安置率是整體的那我們針對身心障礙精神病患者我們覺得他就醫的比例可能又更低對不對那針對這部分看起來這安置率更低我們有沒有什麼因應改善的措施啊\n跟委員報告服務的安置率的部分我們是每一個年度在新年度開始會重新開始來計算他的服務人數跟統計那以我們現在統計到今年的6月我們的服務的使用率是到85.4%那其實是一直會持續的穩定的來增長\n好我希望注意一下因為你這是整體的安置率所以我剛剛有特別講針對精神病身心障礙的應該是更低所以你整體都只有八成甚至有些根本只有六成多所以這部分應該要特別注意那以他們來講應該這個安置率應該是更低那還有像我們桃園龜山這一類身心障礙犯罪的案例我們看過去也蠻多的還有特別就是像我們\n臺鐵嘉義的刺頸案。嫌犯也因為是思覺失調但是後來被判無罪那這個相關的案例其實是非常非常的多那我們新版的精神衛生法在年底前是不是可以如期上路?\n我們有看針對我們這部分要在社區廣設心理衛生中心衛福部的方針是這樣而且好像平均在33萬人我們設一個\n新匯中心那針對這一部分當然我們也希望能夠多增設那預防重疑治療可是據我們看喔從2023年我們身心障礙社工的缺額大概有300個\n新衛中心社工的缺額有748個而且看起來他的離職率跟流動率也是居高不下那我們社家屬針對這一部分你一直增加新衛中心可是這社工數的缺額還是一直在增加我們\n謝謝委員的關心這個我們也透過了改善薪資的結構強化專業的信任還有督導協助輔導的一個方式來提升他的留任的意願\n好,我們希望這新版的精神衛生法請部長一定要在年底前如期上路那針對身心障礙還有心胃中心社工缺額的問題我們一個月內可不可以提出因應社工缺額問題的改善計畫好,我們會提出改善計畫好,那請部長我們一個月內我們提出這改善計畫因為這之前已經講很多了好,沒問題好,謝謝謝謝委員好,謝謝杜委員,謝謝部長\n","vtt":"WEBVTT\n\n00:00.591 --> 00:05.745\n請涂權吉委員質詢。好,謝謝主席,那請我們邱部長。部長請。\n\n00:11.280 --> 00:37.889\n委員好部長辛苦那也感謝你在假日期間也這麼關心我們基層跑了那麼多行程辛苦感謝委員對桃園醫界那麼的關懷大家都非常感動謝謝部長那我們今天專案報告是主要是針對社區精神病患照護優化這個部分那我們也看了一下我們這幾年來針對這些\n\n00:40.310 --> 01:05.777\n像我們這一部分的預算都有增加嘛那不知道增加以後這一部分部長覺得這一部分的成效如何我想由今天找到的報告從不管是從人力的一個點的建置人力的增加數值的提升我想還有預算的增加都是一直符合社會的需求的桌前性來邁進跟桌前來邁進\n\n01:08.297 --> 01:29.463\n事實上其實我也知道我看到大家都在努力可是其實我們目前看到實際的成效感覺還是不足而且這些社會事件還是不斷的發生那我們先看一下我們上禮拜這個影片相信最近大家都很關注這個社會事件我們先看一下這部影片\n\n01:40.185 --> 01:52.716\n那這部影片也是最近大家很關心在我們桃園龜山那有一個18歲的中度生長那搶乳的9歲女童的事件\n\n02:04.668 --> 02:33.728\n部長這個影片雖然只有26秒但是你看這個影片我相信對這個女童一定是一輩子的噩夢那本系也了解當然這個加害人他是中度的身心障礙者但是依照我們身心障礙權益保障法主管單位當然是地方政府但是我們中央機關主管單位是衛福部那針對這部分我們衛福部有去關心受害者還有這個家屬嗎\n\n02:34.428 --> 02:34.462\n韓國瑜議員\n\n02:35.871 --> 03:04.000\n我想我們看到這個影片真的是很難過我想我們後續都一定是很努力在關注跟看應該要做的錯我們新建室跟社家屬有去了解嗎有保護福斯來回應因為這一案子涉及疑似性侵害所以第一時間社工有到場陪同被害人的這個家屬那可以簡單說明一下\n\n03:04.960 --> 03:09.004\n對,我們希望衛福部真的協同相關單位來關心女童不要讓她這個未來一輩子造成很大的因緣\n\n03:25.839 --> 03:53.916\n那還有我們也那時候有看到有媒體相關的報導好像說處理員警有透過志工詢問說是不是可以和解那針對這部分不是對這受害者還有家屬造成二次傷害嗎那到底他們有沒有這個事情發生這個資訊有誤性侵害案件絕對沒有和解這個議題他一定是非告訴乃論所以當初處理員警是沒有去要求社工說要和解嗎\n\n03:55.822 --> 04:17.735\n那所以針對這部分我相信衛福部應該也很重視這個案件那近年來針對精神疾病身心障礙因為刑事犯罪案件常常上這個社會版面那當然也對我們社會對精神病患者還有身心障礙者造成很大的誤解那當然我覺得也暴露\n\n04:18.935 --> 04:26.526\n衛福部在立法上還有我們執行前端我覺得在預防作業上好像看起來有很大的疏失欸\n\n04:27.830 --> 04:55.738\n那部長針對這一部分有沒有,你覺得這一部分是不是有很大改進的空間?謝謝委員,我們在針對精神病或身心障礙的照護其實是要多元化來處理,那我們是希望往前來減低一個risk危險,所以在國際間,其實在社工都希望不是\n\n04:56.776 --> 05:05.941\n所以我覺得這一部分我們覺得這個預防真的是非常非常的重要那而且針對我們衛福部統計國內零有身心障礙慢性精神疾病患者已經突破13萬人對不對\n\n05:24.292 --> 05:49.942\n那我們看到這不僅這個患者一直增加而且相關精神病患者殺人致死的案件也增加對不對看起來這個數據好像都是逐年在增加可能要看一下確實的數據好那沒關係因為法務部那邊對因為我們這個根據我們有統計這個看起來都沒有減少而且感覺都在增加那\n\n05:51.038 --> 06:15.908\n本席也看到我們針對衛福部新建師他在有關強化精神醫療還有精神病患收治這部分他的預算是減編的那減編的理由是怎麼樣這案件一直增加那這預算減編是成效不好還是怎麼樣不管為什麼這案件一直增加這個數量一直增加結果這預算反而是減少的我們是\n\n06:18.379 --> 06:22.345\n你看一下從113年到114年這預算減少3.7%新建師在強化精神醫療及社會資源經費的部分是減少2.7%那\n\n06:35.430 --> 06:55.202\n我不了解在案件一直增加然後預算減少是什麼情形有些事在其他的計畫有編我們是不是請市長跟委員報告我這邊是社公司我說明一下關於那個小康計畫的經費減少的原因那小康計畫他收支的對樣是早期的那個找不到家屬沒有身份的入島病人\n\n06:55.882 --> 06:58.364\n那我們希望齁因為我們一直看到這個增加我們希望齁不要忽略了這一部分那從客觀的預算來看齁我們\n\n07:25.240 --> 07:42.077\n這部分我看精神病人我看好像我們針對這些收容好像這些精神病人對於好像這些治療都是抗拒或者不敢就醫那針對社家屬針對這部分有沒有提出解決的辦法\n\n07:47.625 --> 07:48.045\n社家屬有瞭解這部分嗎?\n\n08:17.041 --> 08:43.080\n這個的確以我一個醫師的經驗的確是有會發生這種情況我在30年前在偏鄉在做服務的時候也常常會看到這樣的病人他有些是被關在家裡旁邊的小房子關了30年對啊那我們衛福部社家屬這部分是不是有推展身心障礙照顧服務資源的部件計畫是不是有提這部分的計畫\n\n08:45.302 --> 08:46.563\n對,可是看你們預算中心的報告齁\n\n09:14.821 --> 09:29.648\n我們針對身心障礙服務據點安置的情形這個安置率整體不到八成而且在我們花蓮宜蘭甚至只有六成六成多所以針對這部分覺得成效如何\n\n09:31.257 --> 09:55.951\n看起來這個成效如果在針對身心障礙精神病患者他本身又抗拒又不敢就醫那這個八成的安置率是整體的那我們針對身心障礙精神病患者我們覺得他就醫的比例可能又更低對不對那針對這部分看起來這安置率更低我們有沒有什麼因應改善的措施啊\n\n09:57.489 --> 10:12.735\n跟委員報告服務的安置率的部分我們是每一個年度在新年度開始會重新開始來計算他的服務人數跟統計那以我們現在統計到今年的6月我們的服務的使用率是到85.4%那其實是一直會持續的穩定的來增長\n\n10:18.197 --> 10:45.592\n好我希望注意一下因為你這是整體的安置率所以我剛剛有特別講針對精神病身心障礙的應該是更低所以你整體都只有八成甚至有些根本只有六成多所以這部分應該要特別注意那以他們來講應該這個安置率應該是更低那還有像我們桃園龜山這一類身心障礙犯罪的案例我們看過去也蠻多的還有特別就是像我們\n\n10:47.935 --> 11:03.186\n臺鐵嘉義的刺頸案。嫌犯也因為是思覺失調但是後來被判無罪那這個相關的案例其實是非常非常的多那我們新版的精神衛生法在年底前是不是可以如期上路?\n\n11:04.520 --> 11:09.282\n我們有看針對我們這部分要在社區廣設心理衛生中心衛福部的方針是這樣而且好像平均在33萬人我們設一個\n\n11:28.840 --> 11:43.066\n新匯中心那針對這一部分當然我們也希望能夠多增設那預防重疑治療可是據我們看喔從2023年我們身心障礙社工的缺額大概有300個\n\n11:44.506 --> 12:01.838\n新衛中心社工的缺額有748個而且看起來他的離職率跟流動率也是居高不下那我們社家屬針對這一部分你一直增加新衛中心可是這社工數的缺額還是一直在增加我們\n\n12:02.679 --> 12:06.941\n謝謝委員的關心這個我們也透過了改善薪資的結構強化專業的信任還有督導協助輔導的一個方式來提升他的留任的意願\n\n12:32.396 --> 12:57.536\n好,我們希望這新版的精神衛生法請部長一定要在年底前如期上路那針對身心障礙還有心胃中心社工缺額的問題我們一個月內可不可以提出因應社工缺額問題的改善計畫好,我們會提出改善計畫好,那請部長我們一個月內我們提出這改善計畫因為這之前已經講很多了好,沒問題好,謝謝謝謝委員好,謝謝杜委員,謝謝部長\n\n","segments":[{"start":0.591,"end":5.745,"text":"請涂權吉委員質詢。好,謝謝主席,那請我們邱部長。部長請。"},{"start":11.28,"end":37.889,"text":"委員好部長辛苦那也感謝你在假日期間也這麼關心我們基層跑了那麼多行程辛苦感謝委員對桃園醫界那麼的關懷大家都非常感動謝謝部長那我們今天專案報告是主要是針對社區精神病患照護優化這個部分那我們也看了一下我們這幾年來針對這些"},{"start":40.31,"end":65.777,"text":"像我們這一部分的預算都有增加嘛那不知道增加以後這一部分部長覺得這一部分的成效如何我想由今天找到的報告從不管是從人力的一個點的建置人力的增加數值的提升我想還有預算的增加都是一直符合社會的需求的桌前性來邁進跟桌前來邁進"},{"start":68.297,"end":89.463,"text":"事實上其實我也知道我看到大家都在努力可是其實我們目前看到實際的成效感覺還是不足而且這些社會事件還是不斷的發生那我們先看一下我們上禮拜這個影片相信最近大家都很關注這個社會事件我們先看一下這部影片"},{"start":100.185,"end":112.716,"text":"那這部影片也是最近大家很關心在我們桃園龜山那有一個18歲的中度生長那搶乳的9歲女童的事件"},{"start":124.668,"end":153.728,"text":"部長這個影片雖然只有26秒但是你看這個影片我相信對這個女童一定是一輩子的噩夢那本系也了解當然這個加害人他是中度的身心障礙者但是依照我們身心障礙權益保障法主管單位當然是地方政府但是我們中央機關主管單位是衛福部那針對這部分我們衛福部有去關心受害者還有這個家屬嗎"},{"start":154.428,"end":154.462,"text":"韓國瑜議員"},{"start":155.871,"end":184,"text":"我想我們看到這個影片真的是很難過我想我們後續都一定是很努力在關注跟看應該要做的錯我們新建室跟社家屬有去了解嗎有保護福斯來回應因為這一案子涉及疑似性侵害所以第一時間社工有到場陪同被害人的這個家屬那可以簡單說明一下"},{"start":184.96,"end":189.004,"text":"對,我們希望衛福部真的協同相關單位來關心女童不要讓她這個未來一輩子造成很大的因緣"},{"start":205.839,"end":233.916,"text":"那還有我們也那時候有看到有媒體相關的報導好像說處理員警有透過志工詢問說是不是可以和解那針對這部分不是對這受害者還有家屬造成二次傷害嗎那到底他們有沒有這個事情發生這個資訊有誤性侵害案件絕對沒有和解這個議題他一定是非告訴乃論所以當初處理員警是沒有去要求社工說要和解嗎"},{"start":235.822,"end":257.735,"text":"那所以針對這部分我相信衛福部應該也很重視這個案件那近年來針對精神疾病身心障礙因為刑事犯罪案件常常上這個社會版面那當然也對我們社會對精神病患者還有身心障礙者造成很大的誤解那當然我覺得也暴露"},{"start":258.935,"end":266.526,"text":"衛福部在立法上還有我們執行前端我覺得在預防作業上好像看起來有很大的疏失欸"},{"start":267.83,"end":295.738,"text":"那部長針對這一部分有沒有,你覺得這一部分是不是有很大改進的空間?謝謝委員,我們在針對精神病或身心障礙的照護其實是要多元化來處理,那我們是希望往前來減低一個risk危險,所以在國際間,其實在社工都希望不是"},{"start":296.776,"end":305.941,"text":"所以我覺得這一部分我們覺得這個預防真的是非常非常的重要那而且針對我們衛福部統計國內零有身心障礙慢性精神疾病患者已經突破13萬人對不對"},{"start":324.292,"end":349.942,"text":"那我們看到這不僅這個患者一直增加而且相關精神病患者殺人致死的案件也增加對不對看起來這個數據好像都是逐年在增加可能要看一下確實的數據好那沒關係因為法務部那邊對因為我們這個根據我們有統計這個看起來都沒有減少而且感覺都在增加那"},{"start":351.038,"end":375.908,"text":"本席也看到我們針對衛福部新建師他在有關強化精神醫療還有精神病患收治這部分他的預算是減編的那減編的理由是怎麼樣這案件一直增加那這預算減編是成效不好還是怎麼樣不管為什麼這案件一直增加這個數量一直增加結果這預算反而是減少的我們是"},{"start":378.379,"end":382.345,"text":"你看一下從113年到114年這預算減少3.7%新建師在強化精神醫療及社會資源經費的部分是減少2.7%那"},{"start":395.43,"end":415.202,"text":"我不了解在案件一直增加然後預算減少是什麼情形有些事在其他的計畫有編我們是不是請市長跟委員報告我這邊是社公司我說明一下關於那個小康計畫的經費減少的原因那小康計畫他收支的對樣是早期的那個找不到家屬沒有身份的入島病人"},{"start":415.882,"end":418.364,"text":"那我們希望齁因為我們一直看到這個增加我們希望齁不要忽略了這一部分那從客觀的預算來看齁我們"},{"start":445.24,"end":462.077,"text":"這部分我看精神病人我看好像我們針對這些收容好像這些精神病人對於好像這些治療都是抗拒或者不敢就醫那針對社家屬針對這部分有沒有提出解決的辦法"},{"start":467.625,"end":468.045,"text":"社家屬有瞭解這部分嗎?"},{"start":497.041,"end":523.08,"text":"這個的確以我一個醫師的經驗的確是有會發生這種情況我在30年前在偏鄉在做服務的時候也常常會看到這樣的病人他有些是被關在家裡旁邊的小房子關了30年對啊那我們衛福部社家屬這部分是不是有推展身心障礙照顧服務資源的部件計畫是不是有提這部分的計畫"},{"start":525.302,"end":526.563,"text":"對,可是看你們預算中心的報告齁"},{"start":554.821,"end":569.648,"text":"我們針對身心障礙服務據點安置的情形這個安置率整體不到八成而且在我們花蓮宜蘭甚至只有六成六成多所以針對這部分覺得成效如何"},{"start":571.257,"end":595.951,"text":"看起來這個成效如果在針對身心障礙精神病患者他本身又抗拒又不敢就醫那這個八成的安置率是整體的那我們針對身心障礙精神病患者我們覺得他就醫的比例可能又更低對不對那針對這部分看起來這安置率更低我們有沒有什麼因應改善的措施啊"},{"start":597.489,"end":612.735,"text":"跟委員報告服務的安置率的部分我們是每一個年度在新年度開始會重新開始來計算他的服務人數跟統計那以我們現在統計到今年的6月我們的服務的使用率是到85.4%那其實是一直會持續的穩定的來增長"},{"start":618.197,"end":645.592,"text":"好我希望注意一下因為你這是整體的安置率所以我剛剛有特別講針對精神病身心障礙的應該是更低所以你整體都只有八成甚至有些根本只有六成多所以這部分應該要特別注意那以他們來講應該這個安置率應該是更低那還有像我們桃園龜山這一類身心障礙犯罪的案例我們看過去也蠻多的還有特別就是像我們"},{"start":647.935,"end":663.186,"text":"臺鐵嘉義的刺頸案。嫌犯也因為是思覺失調但是後來被判無罪那這個相關的案例其實是非常非常的多那我們新版的精神衛生法在年底前是不是可以如期上路?"},{"start":664.52,"end":669.282,"text":"我們有看針對我們這部分要在社區廣設心理衛生中心衛福部的方針是這樣而且好像平均在33萬人我們設一個"},{"start":688.84,"end":703.066,"text":"新匯中心那針對這一部分當然我們也希望能夠多增設那預防重疑治療可是據我們看喔從2023年我們身心障礙社工的缺額大概有300個"},{"start":704.506,"end":721.838,"text":"新衛中心社工的缺額有748個而且看起來他的離職率跟流動率也是居高不下那我們社家屬針對這一部分你一直增加新衛中心可是這社工數的缺額還是一直在增加我們"},{"start":722.679,"end":726.941,"text":"謝謝委員的關心這個我們也透過了改善薪資的結構強化專業的信任還有督導協助輔導的一個方式來提升他的留任的意願"},{"start":752.396,"end":777.536,"text":"好,我們希望這新版的精神衛生法請部長一定要在年底前如期上路那針對身心障礙還有心胃中心社工缺額的問題我們一個月內可不可以提出因應社工缺額問題的改善計畫好,我們會提出改善計畫好,那請部長我們一個月內我們提出這改善計畫因為這之前已經講很多了好,沒問題好,謝謝謝謝委員好,謝謝杜委員,謝謝部長"}]}}},"gazette":{"lineno":557,"blocks":[["涂委員權吉：（10時40分）謝謝主席，請邱部長。"],["主席：部長請。"],["邱部長泰源：委員好。"],["涂委員權吉：部長辛苦了，感謝你在假日期間也這麼關心我們基層，跑了那麼多行程，辛苦了。"],["邱部長泰源：感謝涂委員對桃園醫界那麼的關懷，大家都非常感動。"],["涂委員權吉：謝謝。部長，今天的專案報告主要是針對社區精神病患照護優化的部分，我們也看了一下，我們這幾年來針對這部分的預算都有增加，預算增加以後，部長覺得成效如何？"],["邱部長泰源：我想由今天早上的報告，不管是從點的建置、人力的增加、素質的提升，還有預算的增加，都是一直符合社會需求的周全性來邁進。"],["涂委員權吉：我看到大家都在努力，可是我們目前看到實際的成效，感覺還是不足，而且這些社會事件還是不斷的發生。我們先看一下上禮拜的這個影片，我相信最近大家都很關注這個社會事件，我們先看一下這部影片。","（播放影片）"],["涂委員權吉：這部影片也是最近大家很關心的，發生在我們桃園龜山，有一個18歲的中度身障者強擄9歲女童的事件。部長，這個影片雖然只有26秒，但是你看這個影片，我相信對這女童一定是一輩子的惡夢。本席也了解，這個加害人他是中度的身心障礙者，依照身心障礙權益保障法，主管單位當然是地方政府，但是中央機關的主管單位是衛福部，針對這部分衛福部有去關心受害者還有家屬嗎？"],["邱部長泰源：我想我們看到這個影片真的是很難過，我們後續一定是很努力在關注跟做應該要做的處理。"],["涂委員權吉：心健司跟社家署有去了解嗎？"],["張司長秀鴛：由保護服務司來回應，因為這一個案子涉及疑似性侵害，所以第一時間社工有到場陪同被害人的家屬。"],["涂委員權吉：好，那可以簡單說明一下嗎？"],["張司長秀鴛：是，第一個就是做筆錄，第二個有做創傷評估，後續我們會導入身心治療或輔導諮商的資源，提供這個案家。"],["涂委員權吉：對，我們希望衛福部真的協同相關單位來關心女童，不要對他未來一輩子造成很大的陰影。我們那時候也看到媒體有相關的報導，好像處理員警有透過志工詢問是不是可以和解，如此不是對受害者還有家屬造成二次傷害嗎？到底有沒有這個事情發生？"],["張司長秀鴛：這個資訊有誤，性侵害案件絕對沒有和解這個議題，它一定是非告訴乃論。"],["涂委員權吉：所以當初處理員警沒有要求社工說要和解？"],["張司長秀鴛：是，沒有。"],["涂委員權吉：好，針對這一部分，我相信衛福部應該也很重視這個案件，近年來針對精神疾病、身心障礙，因為刑事犯罪案件常常上社會版面，當然也讓我們社會對精神病患者還有身心障礙者造成很大的誤解，我覺得也暴露衛福部在立法上、執行前端以及預防作業上好像有很大的疏失。部長，你覺得這部分是不是有很大的改進空間？"],["邱部長泰源：謝謝委員，我們針對精神病或身心障礙的照顧其實是要多元化來處理，我們是希望往前來減低風險，所以在國際間都希望社工不是像檢查員，而是平常就要去照顧，在那邊深入了解整個社區的狀況，這樣才能夠減少風險。"],["涂委員權吉：這部分我們覺得預防真的是非常的重要，而且根據衛福部統計，國內領有身心障礙慢性精神疾病患者已經突破13萬人，對不對？不僅患者一直增加，而且相關精神病患者殺人致死的案件也增加，對不對？看起來這個數據好像都是逐年在增加的。"],["邱部長泰源：可能要看一下法務部那邊確實的數據。"],["涂委員權吉：好，那沒關係，因為根據我們的統計，看起來都沒有減少，而且感覺都在增加。本席也看到衛福部心健司在有關強化精神醫療還有精神病患收治這部分的預算是減編的，減編的理由為何？這類案件一直增加，預算卻減編，是成效不好，還是怎麼樣？不然為什麼案件數量一直增加，結果預算反而是減少的？你看一下，從113年到114年，精神病患收治的預算減少3.7%，心健司在強化精神醫療及社會資源經費的部分是減少2.7%，我不了解這類案件一直增加，然後預算減少是什麼情形。"],["邱部長泰源：有些是在其他的計畫有編，是不是請司長說明？"],["蘇司長昭如：跟委員報告，我這邊是社工司，我說明一下關於小康計畫經費減少的原因，小康計畫收治的對象是早期找不到家屬、沒有身分的路倒病人，這群人是高齡化，所以人數逐漸在減少，後續因為有身心障礙的鑑定跟身障的收容安置補助，所以它的人數不會增加，只有逐年減少，所以隨著執行數，編列的預算會稍微做一個調整，以上報告。"],["涂委員權吉：因為我們一直看到這個數量增加，希望不要忽略了這一部分。"],["邱部長泰源：是，一定。"],["涂委員權吉：從客觀的預算來看，針對收容的部分，好像這些精神病人對於治療都是抗拒或者不敢就醫，社家署針對這部分有沒有提出解決的辦法？"],["邱部長泰源：委員的意思是？"],["涂委員權吉：據我們了解，這些精神病患可能也因為社會對他們污名化，也造成很多的誤解，所以我們目前了解好像實質的成效並不是太好，是不是因為這些精神病患者的家屬沒有讓他們去就醫，還是這些精神病患會有抗拒的問題，社家署有了解這一部分嗎？"],["邱部長泰源：以我一個醫師的經驗，的確是會發生這種情況，我30年前在偏鄉服務的時候也常常會看到這樣的病人，有些是被關在家裡旁邊的小房子，關了30年。"],["涂委員權吉：對啊！衛福部社家署是不是有推展身心障礙照顧服務資源的布建計畫，是不是有提這部分的計畫？"],["周代理署長道君：我們現在是有做身心障礙服務據點的布建，從110年開始我們都有持續的在做，以110年到113年6月來看，我們的服務點數從737點增加到924個據點，在布建的數量跟服務的人數部分一直都在持續的上升。"],["涂委員權吉：對，可是看你們中心統計的報告，針對身心障礙服務據點安置的情形，安置率整體不到八成，而且在花蓮、宜蘭甚至只有六成、六成多，所以針對這部分覺得成效如何？如果加上身心障礙精神病患者他本身又抗拒、又不敢就醫，而這個八成的安置率是整體的，那麼針對身心障礙精神病患者就醫的比例可能又更低，對不對？針對安置率更低的部分，你們有沒有什麼因應改善的措施？"],["周代理署長道君：跟委員報告，服務安置率的部分，我們是在每一個新年度開始會重新計算它的服務人數跟統計，以我們現在統計到今年6月，服務的使用率是到85.4%，其實是會一直持續穩定的來增長。"],["涂委員權吉：好，我希望注意一下，因為你這是整體的安置率，我剛剛有特別講，針對精神病、身心障礙的應該是更低，你整體都只有八成，甚至有些根本只有六成多，所以這一部分應該要特別注意，以他們來講，這個安置率應該是更低。還有像我們桃園、龜山這一類身心障礙犯罪的案例，我們看過去也滿多的，特別像是臺鐵嘉義的刺警案，因為嫌犯也是思覺失調，後來被判無罪，這些相關的案例其實非常非常的多，我們新版的精神衛生法在年底前是不是可以如期上路？"],["邱部長泰源：一定上路，113年……"],["涂委員權吉：年底以前絕對沒問題嘛！對不對？"],["邱部長泰源：對，12月14日。"],["涂委員權吉：針對我們要在社區廣設心理衛生中心這部分，衛福部的方針是這樣嘛！而且每33萬人就設一個心衛中心，針對這個部分，當然我們也希望能夠多增設，預防重於治療，可是據我們看，2023年身心障礙社工的缺額大概有300個，心衛中心社工的缺額有748個，而且看起來它的離職率跟流動率也是居高不下，社家署針對這部分一直增加心衛中心，可是社工數的缺額還是一直在增加，我們會擔心心衛中心的數量一直增加，可是裡面並沒有充足的社工能夠解決這個問題，心衛中心比例數是增加，可是裡面的社工是減少，執行上會不會有很大的困難？"],["邱部長泰源：謝謝委員的關心，我們也透過改善薪資的結構、強化專業的訓練，還有督導、協助輔導的方式，來提升他留任的意願。"],["涂委員權吉：新版的精神衛生法請部長一定要在年底前如期上路，針對身心障礙還有心衛中心社工缺額的問題，一個月內可不可以提出因應社工缺額問題的改善計畫？"],["邱部長泰源：好，我們會提出改善計畫。"],["涂委員權吉：好，請部長一個月內提出改善計畫，因為這個之前已經講很多了。"],["邱部長泰源：好，沒問題。"],["涂委員權吉：好，謝謝。"],["邱部長泰源：謝謝委員。"],["主席：謝謝涂委員，謝謝部長。現在休息10分鐘。","休息（10時53分）","繼續開會（11時3分）"],["主席：我們繼續開會，請王正旭委員質詢。"]],"agenda":{"page_end":272,"meet_id":"委員會-11-2-26-7","speakers":["蘇清泉","陳昭姿","陳菁徽","林月琴","廖偉翔","邱鎮軍","涂權吉","王正旭","鍾佳濱","林國成","楊瓊瓔","林淑芬","賴士葆","黃秀芳","陳雪生","王育敏","劉建國","牛煦庭","楊曜","陳瑩","黃國昌","盧縣一"],"page_start":199,"meetingDate":["2024-11-04"],"gazette_id":"1139301","agenda_lcidc_ids":["1139301_00004"],"meet_name":"立法院第11屆第2會期社會福利及衛生環境委員會第7次全體委員會議紀錄","content":"一、繼續處理中華民國113年度中央政府總預算有關衛生福利部主管預算凍結報告案1案；二、邀\n請衛生福利部部長針對「社區精神病患照護優化」進行專題報告，並備質詢","agenda_id":"1139301_00003"}}}